RESUMO
The most important characteristics of Helicobacter pylori infection were studied in 96 patients submitted endoscopic examination at the University Hospital of the Federal Unlversity of Santa Catarina, Florianópolis southern Brazil. As diagnostic method of the infection we used the presence of Helicobacter pylori on histologic examination, stained by hematoxilin-eosin and Giemsa stains ("gold standard"), immunologic test (ELISA Roche), bacteriologic slide (Gram stained), and urease biopsy test. The rnedian age of the series was 44.6 years (range 14 to 84 years, SD = 18.1), with 56 (58.3 per cent) males. The prevalence of the infection was 78.1 per cent 75/96 and Helicobacter pylori infection was associated with gastritis in 96.6 per cent of the cases (68/75, p < O.0 1). Sixteen of 17 patients with peptic ulcer disease tested positive for the presence of Helicobacter pylori. The infection proportionally more prevalent in the older groups, and there was no statistical gender difference.
Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Gastrite/microbiologia , Helicobacter pylori/isolamento & purificação , Infecções por Helicobacter/epidemiologia , Úlcera Péptica/microbiologia , Idoso de 80 Anos ou mais , Endoscopia , Higiene , Imunoglobulina G/sangue , Infecções por Helicobacter/diagnóstico , Prevalência , Fatores SocioeconômicosRESUMO
The acceptance of the WHO regimen in a group of 220 patients was approximately 84.5%. Only 11% abandoned the treatment, and the substitution of ethionamide or prothionamide for clofazimine due to excessive hyperpigmentation was necessary in only eight cases. The WHO regimens adopted provided a more frequent (monthly) relationship between the patients and their health service. It was necessary to: a) reorganize the technical-administrative infrastructure, with the intention of providing an improved service to the patients for treatment and control; and b) pay more attention to the problem of deformities and health education activities. As for the side effects of the drugs, 54 patients showed alterations in their liver function tests, which were usually mild and which resolved despite continuation of the treatment. Of the reactional episodes observed during MDT, it would not appear that the therapeutic regimens contributed to their occurrence or aggravation.